Individual
MRS. JULIE LORRAINE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12039 CITRUS LEAF DR, GIBSONTON, FL 33534-5661
(813) 928-3167
Mailing address
12039 CITRUS LEAF DR, GIBSONTON, FL 33534-5661
(813) 928-3167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10400
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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